Some observations concerning the desirability of a new paradigm for medicine

We physicians have never had a clearly defined mission. That mattered less when expectations were lower and we could do less. Now though, the reigning paradigm is grounded in basic science, excessively confident, inpatient-centric, and broadly focused on treatment of symptoms and signs, on diagnosis and therapy. The development of a new medical paradigm seems…

ONE POEM – Lucy Holme

Unlike a jellyfish, she has a brain but doubts her instinct for survival.
swoop siren, dive under.

ONE POEM – David Linklater

The train leans through
the Highland line, Inverness
to Fearn, wheat either side.
This carriage bows for you.

TranSItion – Seigar

“Ignorance produces hate, knowing is the best way to tackle ignorance, and empathy is the only path to love.”

Failing to Eat a Local Delicacy – Michael O’Mahony

Lorighittas are a type of pasta made in one small village, Morgongiori, on a side of a mountain on the east of Sardinia. Only the women of this village, and only some of them, know how to make lorighittas. A lorighitta is effectively a woven pasta made from a dough of semolina and water. Each…

ONE POEM – Cai Draper

i was scared to make this poem /
treat them right / they never
came close to meeting in life

Disposable – Walker Thomas

“You can call me Mr. S,” my ninth-grade biology teacher told the class on our first day, “for the sssss a snake makes.” Eyes sunken behind wirerimmed glasses, he had a wide mouth with no lips that I recall, and long, stubble-blue cheeks like leather stretched tight to the bone. While he lectured, a red…

Ezra Pound: Prototypical Beat? – Michael Washburn

We today tend to remember Ezra Pound (1885-1972) for the immense density and erudition of his work. Pound’s many preoccupations included Confucius, medieval China, Bertrand de Born, the Provençal period, ancient Egypt, the beauty of the Farsi tongue, and his fellow early twentieth-century modernists. Of course, we also remember many unpleasant things about the man,…

Spiders in the Drain, and Other American Horrors – Brett Bezio

The wolf spider gestured to me from across the tub, unfurling four legs from behind the metal cover obscuring overflow drain to greet me, naked and alone in a foot of bath water. This memory stands in isolation, as remote memories of a young child often are. The memory itself creeps from a drain, simply…

Diamonds or Snow – T.S.J. Harling

Image by Alex Avalos, via Unsplash This is the place you go to bury or burn the person you love. – You are in a cinema with friends, or a boyfriend, or your family. No-one is ill, no-one is cross, and you have enough money to waste on a cinema ticket and popcorn and fizzy…

An Ode to Cross-Dressing – Clara Schwarz

I tightly pull back my hair into a slick, low bun, parted far on the right side of my skull. With a several pumps of hairspray, I even out the edges and create a stiff look. I squeeze the top button through its hole and stand up straight as I clip the bow into its…

Pero’s Promise – Tamara Lazaroff

At the village bus stand, with my packed bags, I’m crying my eyes out as I kiss the faces of the row of relatives—Uncle Mitko, Beti, Verka, Tanja, Mirka, even Baba Slobodanka who Branko has carried on his back. Others, too. They’ve all come to say goodbye before I go back home to Australia. And…